ATI RN
ATI Maternity Exam 4 Questions
Extract:
A client diagnosed with hyperemesis gravidarum.
Question 1 of 5
Which of the following conditions are risk factors for hyperemesis gravidarum?
Correct Answer: B,D,E
Rationale: Twin gestations (
B) increase hCG levels, contributing to hyperemesis. Molar pregnancy (
D) causes significantly elevated hCG, triggering severe nausea. A history of hyperemesis (E) predicts recurrence. Oligohydramnios (
A) is unrelated to hormonal changes causing hyperemesis, and anemia (
C) may result from, but does not cause, the condition.
Extract:
A laboring client with preeclampsia is prescribed magnesium sulfate 2g/h IVPB. The pharmacy sent the IV labeled magnesium sulfate 20g/500mL normal saline.
Question 2 of 5
To administer the correct dose, the nurse should set the pump to deliver how many milliliters per hour?
Correct Answer: 50 mL/h
Rationale: The concentration is 20g/500mL = 0.04g/mL. The required dose is 2g/h. Dividing 2g by 0.04g/mL gives 50mL/h.
Extract:
A laboring client, 39 weeks gestation, cervical exam 9cm/100%/0, epidural in place, ROM 25 hours ago with clear fluid, EFM baseline 175bpm, minimal variability, no accelerations, no decelerations, BP 118/84 mmHg, RR 16/min, O2 sat 99%, maternal fever 39.2°C.
Question 3 of 5
Which condition is suspected based on these findings?
Correct Answer: A
Rationale: Prolonged rupture of membranes (25 hours), maternal fever (39.2°
C), and fetal tachycardia (175 bpm) indicate intraamniotic infection (
A). Pyelonephritis (
B) lacks urinary symptoms, cholestasis (
C) involves itching, and placental abruption (
D) typically includes bleeding and pain.
Extract:
A client at 33 weeks gestation with PPROM 4 hours ago, initial exam 2 cm dilated.
Question 4 of 5
Why should the nurse avoid performing another vaginal exam?
Correct Answer: D
Rationale: Frequent vaginal exams after PPROM increase infection risk (
D) by introducing bacteria. They do not directly increase labor progress (
A), pain (
B), or bleeding (
C).
Extract:
A client at the end of her second trimester.
Question 5 of 5
Which statement indicates correct understanding of car safety education?
Correct Answer: B
Rationale: Positioning the lap belt under the abdomen and shoulder belt between the breasts (
B) minimizes abdominal trauma. Under the arm (
A) or avoiding seatbelts (C,
D) increases injury risk.